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Relationship: 2563
Title
Reduced neural crest cell migration leads to Transposition of the great arteries
Upstream event
Downstream event
Key Event Relationship Overview
AOPs Referencing Relationship
AOP Name | Adjacency | Weight of Evidence | Quantitative Understanding | Point of Contact | Author Status | OECD Status |
---|---|---|---|---|---|---|
Inhibition of RALDH2 causes reduced all-trans retinoic acid levels, leading to transposition of the great arteries | adjacent | High | Low | Arthur Author (send email) | Open for comment. Do not cite |
Taxonomic Applicability
Sex Applicability
Life Stage Applicability
Key Event Relationship Description
Neural crest cells (NCCs) migrate into the pharyngeal arches 3, 4, and 6. The cardiac NCCs (cNCCs) differentiate into smooth muscle cells (SMCs) between E10.5-E13.5 in mice and between HH14-HH28 in chicken. The left fourth pharyngeal arch artery (PAA) in mammals persists and forms the segment of the aortic arch (AA) connecting the aortic sac and the descending aorta. The sixth PAA will form the pulmonary veins.
Evidence Collection Strategy
Evidence Supporting this KER
Biological Plausibility
The biological plausibility of this relationship is high. Abnormal cNCCs in mouse mutants show regression of the left fourth PAA resulting in an interrupted aortic arch (IAA) also referred to as type b interruption. cNCCs contribute to outflow tract (OFT) septation, vascular remodeling, cardiac valve formation, and possibly also to myocardial development and the conduction system (Plein et al., 2015). When comparing PAA development between taxa there is a difference in aortic arch anatomy. Avian species have a right-sided aortic arch and mammals have a left-sided aortic arch (Gittenberger-de Groot et al., 2006). The relationship between cNCCs and transposition of the great arteries became for the first time very clear in the chick-ablation model by Kirby et al. that showed a spectrum of aortic arch malformations with the fourth and sixth segments as being most vulnerable (Hutson & Kirby, 2007; Kirby, 1993; Kirby et al., 1983; Kirby & Waldo, 1995). This model was more difficult to copy in mammals, yet mouse knock-out models of endothelin 1, semaphoring 3 and Vegf164 could be traced to disturbed NCC migration and differentiation (Gittenberger-de Groot et al., 2006). As the role of cNCCs in OFT septation and aortic arch remodeling is critical in birds and mammals, this is less well understood in vertebrates (Chin et al., 2012). Zebrafish have a different circulation system as compared to mammals and e.g. don’t have a separate systemic and pulmonary circulation or an OFT septum, but they do have cNCCs. The cNCCs in zebrafish arise from a broader region of the neural tube and contributes to all cardiac regions (Chin et al., 2012; Sato et al., 2006).
Empirical Evidence
Evidence for the relationship between cNCCs and transposition of the great arteries mainly resides from cNCCs ablation studies and later also from gene expression knock-out studies. Evidence for quantitative relationships is low. From the chick-ablation study specific to cNCCs, the third, fourth and sixth PAAs were targeted and showed the formation of PAAs being transformed and remodeled into the asymmetric great arteries (Kirby et al., 1983). The cNCCs differentiate into SMCs of the AA arteries for their patterning and persistence. However, they are not necessarily required for formation of these arteries (Porras & Brown, 2008). cNCC ablation in the chick model led to a malformed OFT and AA like persistent truncus arteriosus (PTA), teratology of Fallot and interrupted AA type B, overriding aorta, and ventricular septal defects (Creazzo et al., 1998; Kirby, 1993; Porras & Brown, 2008).
Studying the cNCC contribution to cardiovascular development in mammals was more difficult because of a lack of appropriate cNCC markers and it was difficult to manipulate embryonic tissue in mice (Creazzo et al., 1998). The cNCC in mammals was first mapped using a transgenic Lac-Z line (Aoto et al., 2015). Afterwards, cNCCs were studied using a Cre-Lox to lineage in Wnt1-Cre and Pax3-Cre mice (Jiang et al., 2000; Waldo et al., 1996). The heart defects that were observed in the chick ablation model as reviewed by Creazzo et al., were also found in mammals when Pax3 was knocked-out in mouse NCCs, which also resulted in alterations of connexin 43 expression in the ascending aorta (Creazzo et al., 1998; Jain et al., 2011).
Looking at AA anomalies, multiple genes related to cNCCs can be disturbed and were reviewed by Kemeda in 2009 (Kameda, 2009). Such genes involved Pax3, Alk5 (receptor of Tgfβ), Alk2 (Bmp type 1 receptor), and semaphoring 3C (Kameda, 2009). VEGF also has a role in OFT and PAA remodeling (Stalmans et al 2003). Furthermore, signaling pathways in mice such as the endothelin pathway (Clouthier et al., 1998; Kurihara et al., 1995; Morishima et al., 2003), but also mutation in TGFβ, BMP, and Smad resulted in impaired AA patterning resulted in impaired AA patterning (Molin et al., 2004; Nie et al., 2008). TGFβ2 mouse KOs also showed OFT and AA defects, and is particularly important to vascular remodeling (Kubalak et al., 2002).
Various KO genes specific to cNCCs resulted in IAA where some genes showed to affect migration and others affected subsequent development. cNCC loss of the TGFβ receptor II (Tgfbr2) showed disturbed SMC differentiation and remodeling of the OFT and PAAs in mice (Wurdak et al., 2005). However, in another NCC specific Tgfbr2 mutant study, no altered NCC specification to SMC developed, but cardiovascular malformation PTA and IAA-B did develop (Choudhary et al., 2006). Specific NCC loss of the ALK5 (TGFβ receptor) also caused PAA and OFT defects because of impaired postmigratory cNCC survival (J. Wang et al., 2006). NCC targeted deletion of Fak (focal adhesion kinase), involved in integrin, FGF, and TGFβ pathways, led to PTA, overriding aorta, ventricular septal defect, and type B interruption of the aortic arch (Vallejo-Illarramendi et al., 2009). Downstream effectors of Fak include Cdc42, Crkl, and Erk1/2 involved in cytoskeletal reorganization (Vallejo-Illarramendi et al., 2009). Cell division cycle 42 (cdc42) regulates cytoskeleton remodeling as a molecular switch and its deletion in mouse NCCs caused a halted NCC migration midway the pharyngeal arches that eventually resulted in PTA, hypomorphic pulmonary arteries, IAA and right sided aortic arches (Liu et al., 2013).
The Sem3c pathway also seems to be involved in the relationship between cNCCs and great artery formation. NCCs GATA6 inactivation results in PTA and IAA and similar inactivation in SMCs showed the same defects. These observed defects were associated with dysregulated Sem3c expression (Lepore et al., 2006).
NRP1 (SEMA3C receptor) KO in cNCCs altered migration in chicken (Toyofuku et al., 2008). Mice lacking NRP1 and NRP2 also show AA and OFT defects (Gu et al., 2003). However, proof for SEMA3C to be involved in mammalian cNCCs is lacking (Plein et al., 2015). In fact, the exact role of cNCCs in the asymmetry of vascular remodeling is not completely understood (Plein et al., 2015).
Mice with NCC specific Notch inactivation resulted in AA patterning defects, pulmonary artery stenosis, and ventricular septal defects and plays both in vitro and in vivo a role in cNCC differentiation to SMCs (High et al., 2007; Jain et al., 2010). A mutation of the gene MAML, which is under the Pax3 promotor, can block Notch signaling (Manderfield et al., 2012; Yamagishi, 2021).
Uncertainties and Inconsistencies
Despite the seemingly clear role of cNCCs in great artery formation, also other progenitors contribute to AAA remodeling that are in cross-talk with the cNCCs, such as the pharyngeal mesoderm and endoderm (Franco & Campione, 2003; Gittenberger-de Groot et al., 2006). Furthermore, cNCC ablation also results in altered SHF proliferation and abnormal myocardial function as secondary effects (Farrell et al., 2001; Farrell & Kirby, 2001; Leatherbury et al., 1990; Waldo et al., 2005).
Known modulating factors
Quantitative Understanding of the Linkage
Response-response Relationship
Time-scale
Known Feedforward/Feedback loops influencing this KER
Domain of Applicability
References
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